Puckett, Kodi J
Puckett, Kodi J is an individual health care provider with primary practice located at 4092 Foxwood Dr Ste 100, Va Beach VA 23462-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Puckett, Kodi J can be contacted via phone (757) 686-3508.Contact Information
Primary practice address
4092 Foxwood Dr Ste 100
Va Beach VA 23462-5225
Phone: (757) 686-3508
Fax: (757) 686-0541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Virginia |
Profile Details
| NPI number | 1184004475 |
|---|---|
| LBN Legal business name | Puckett, Kodi J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2015 |
| Last updated | Sep 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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